Smith, Jason
Smith, Jason is an individual health care provider with primary practice located at 550 Professional Dr , Macon GA 31201-1441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, Jason can be contacted via phone (478) 741-3007.Contact Information
Primary practice address
550 Professional Dr
Macon GA 31201-1441
Phone: (478) 741-3007
Fax: (478) 742-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 052635 | Georgia |
Profile Details
| NPI number | 1831272756 |
|---|---|
| LBN Legal business name | Smith, Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Mar 10th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831272756 | NPPES |
| Georgia | MEDICAID | 813202619A |
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